LREFUAH MEDICAL & REHABILITATION CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LREFUAH MEDICAL & REHABILITATION CENTER INC (EIN 11-3535388)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-11
IRS object ID
201731929349300433
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-07-11T12:07:01-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN131517563PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN113535388EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1L'REFUAH MEDICAL AND REHABILITATIONBusinessNameLine1Txt
Business Name Line2CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLREFBusinessNameControlTxt
Phone7186867600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11312 38TH STREETAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11218ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIAZER IGELPersonNm
Person TitleCEOPersonTitleTxt
Phone7186867600PhoneNum
Signature2017-06-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAARON SHAPIROPreparerPersonNm
PTINP01333816PTIN
Phone2128674000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.98.118.70IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-11IPDt
IP Tm09:33:30IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD7076C0EC39B17C3336BFEA465ABF20A32036F2AAtSubmissionCreationDeviceId
At Submission Filing Device Id73A2BDB4DEE3E1301F7FB9DCBA9193E2BC5F7900AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1EZRA MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerELIAZER IGELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11312 38TH STREETAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11218ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,424,028GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EZRAMEDICAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionPROVIDES A BROAD RANGE OF HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee195TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,431,493PYContributionsGrantsAmt
CY Contributions Grants$3,217,489CYContributionsGrantsAmt
PY Program Service Revenue$15,532,920PYProgramServiceRevenueAmt
CY Program Service Revenue$16,418,918CYProgramServiceRevenueAmt
PY Investment Income-$45,615PYInvestmentIncomeAmt
CY Investment Income-$17,472CYInvestmentIncomeAmt
PY Other Revenue-$30,944PYOtherRevenueAmt
CY Other Revenue-$86,151CYOtherRevenueAmt
PY Total Revenue$16,887,854PYTotalRevenueAmt
CY Total Revenue$19,532,784CYTotalRevenueAmt
PY Grants And Similar Paid$36,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,705,328PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,721,850CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,804,833PYOtherExpensesAmt
CY Other Expenses$5,896,653CYOtherExpensesAmt
PY Total Expenses$15,546,161PYTotalExpensesAmt
CY Total Expenses$17,638,503CYTotalExpensesAmt
PY Revenues Less Expenses$1,341,693PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,894,281CYRevenuesLessExpensesAmt
Total Assets BOY$11,514,903TotalAssetsBOYAmt
Total Assets EOY$13,930,607TotalAssetsEOYAmt
Total Liabilities BOY$1,018,983TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,540,406TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,495,920NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,390,201NetAssetsOrFundBalancesEOYAmt
MissionTHE PROVISION OF HEALTH CARE SERVICES OF THE HIGHEST QUALITY, THE CONTINUING ADVANCMENT OF TOTAL FAMILY WELLNESS, AND THE ONGOING EDUCATION OF OUR PATIENTS AND OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,494,433ExpenseAmt
Grant$20,000GrantAmt
Revenue$16,418,918RevenueAmt
DescIN FULFILLMENT OF OUR MISSION TO PROVIDE HEALTH CARE SERVICES OF THE HIGHEST QUALITY, THE CONTINUING ADVANCEMENT OF TOTAL FAMILY WELLNESS, AND THE ONGOING EDUCATION OF OUR PATIENTS AND OUR COMMUNITY. 74,013 VISITS WERE PROVIDED IN 2016.Desc
Total Program Service Expenses$14,494,433TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee195EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BASYA UNGARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7186862011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11312 38TH STREETAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11218ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
HERMAN SILBERSTEIN
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
BEREL GRAUS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JOSHUA SILBERBERG
TREASURER1.00Yes (X)Yes (X)$0$0$0
BELLA GROSSMAN
BOARD MEMBER1.00Yes (X)$0$0$0
YITTY GRUNWALD
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID CHIMMEL
BOARD MEMBER1.00Yes (X)$0$0$0
AVROM PORGES
BOARD MEMBER1.00Yes (X)$0$0$0
GITEL KLEIN
BOARD MEMBER1.00Yes (X)$0$0$0
FAIGY ENGLANDER
BOARD MEMBER1.00Yes (X)$0$0$0
NURIT OZERI
BOARD MEMBER1.00Yes (X)$0$0$0
YISHAI HECHT
EXECUTIVE DIRECTOR37.00Yes (X)$199,726$0$46,972
BASYA UNGAR
CHIEF FINANCIAL OFFICER37.00Yes (X)$147,064$0$41,961
AVROHOM LICHTENSTEIN
CHEIF OPERATING OFFICER37.00Yes (X)$160,400$0$36,353
DR JEFFREY TEITELBAUM
MEDICAL DIRECTOR37.00$289,082$0$42,023Yes (X)
DR ISRAEL GOLDSTEIN
PODIATRIST37.00$287,345$0$40,152Yes (X)
DR ROBERT KADAR
PEDIATRICIAN37.00$218,845$0$37,105Yes (X)
DR MERAV KROLL
PEDIATRIC DENTIST37.00$255,219$0$5,771Yes (X)
DR SANDRA PETTY
PEDIATRICIAN37.00$191,508$0$14,311Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,749,189TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$264,648TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MLK CONSULTING INC
2161 62ND STREETBROOKLYNNY11204CONSTRUCTION$1,274,470
INFINITY COMPUTER SYSTEMS
220 EAST 23RD STREETNEW YORKNY10010IT SERVICES$163,130
GO ADVERTISE INC
1205 43RD STREETBROOKLYNNY11219PUBLIC INFORMATION$150,140
GARFUNKEL WILD PC
111 GREAT NECK ROADGREAT NECKNY11021LEGAL$122,462
MYRIAD SUPPLY
PO BOX 10424UNIONDALENY11555NEW PHONE SYSTEM AND SUPPORT$103,246
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$3,217,489GovernmentGrantsAmt
Noncash Contributions$205,267NoncashContributionsAmt
Total Contributions$3,217,489TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$15,500,957$15,500,957
INDIGENT CARE POOL DISTRIBUTION621110$917,961$917,961
FieldValueIRS element (for citing)
Total Program Service Revenue$16,418,918TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,774TotalRevenueColumnAmt
Exclusion$1,774ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,560RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$120,517RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$102,957RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$102,957TotalRevenueColumnAmt
Exclusion-$102,957ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$751,481OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$770,727OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$19,246OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,246TotalRevenueColumnAmt
Exclusion-$19,246ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,806TotalRevenueColumnAmt
Exclusion$16,806ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,806OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,532,784TotalRevenueColumnAmt
Related Or Exempt Func Income$16,418,918RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$103,623ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Program Services$20,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$632,476TotalAmt
Program Services$137,728ProgramServicesAmt
Management And General$494,748ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,151,176TotalAmt
Program Services$8,469,949ProgramServicesAmt
Management And General$681,227ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$189,749TotalAmt
Program Services$180,479ProgramServicesAmt
Management And General$9,270ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,047,202TotalAmt
Program Services$1,006,465ProgramServicesAmt
Management And General$40,737ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$701,247TotalAmt
Program Services$624,111ProgramServicesAmt
Management And General$77,136ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$217,721TotalAmt
Management And General$217,721ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$202,032TotalAmt
Management And General$202,032ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,497TotalAmt
Management And General$74,497ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$22,672TotalAmt
Management And General$22,672ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$327,004TotalAmt
Program Services$327,004ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$364,311TotalAmt
Program Services$57,837ProgramServicesAmt
Management And General$306,474ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$641,511TotalAmt
Program Services$409,262ProgramServicesAmt
Management And General$232,249ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$565,209TotalAmt
Program Services$274,489ProgramServicesAmt
Management And General$290,720ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,272,632TotalAmt
Program Services$1,111,456ProgramServicesAmt
Management And General$161,176ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,688TotalAmt
Program Services$16,725ProgramServicesAmt
Management And General$51,963ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,550TotalAmt
Management And General$2,550ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$756,013TotalAmt
Program Services$557,909ProgramServicesAmt
Management And General$198,104ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$246,494TotalAmt
Program Services$165,700ProgramServicesAmt
Management And General$80,794ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEDICAL SUPPLIESDesc
Total$1,135,319TotalAmt
Program Services$1,135,319ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,638,503TotalAmt
Program Services$14,494,433ProgramServicesAmt
Management And General$3,144,070ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,120BOYAmt
EOY$2,620EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,931,727BOYAmt
EOY$1,683,194EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$246,368BOYAmt
EOY$1,547,520EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,929,244BOYAmt
EOY$2,031,724EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$315,746BOYAmt
EOY$302,732EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,836,244LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,473,427LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,089,698BOYAmt
EOY$8,362,817EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,514,903BOYAmt
EOY$13,930,607EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,018,983BOYAmt
EOY$1,503,420EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$36,986EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,018,983BOYAmt
EOY$1,540,406EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,495,920BOYAmt
EOY$12,390,201EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,495,920BOYAmt
EOY$12,390,201EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,514,903BOYAmt
EOY$13,930,607EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,894,281ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$893,579CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$964,227CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$978,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,431,493CurrentTaxYearMinus1YearAmt
Current Tax Year$3,217,489CurrentTaxYearAmt
Total$7,485,204TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,874,726CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,823,514CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,918,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,532,920CurrentTaxYearMinus1YearAmt
Current Tax Year$16,418,918CurrentTaxYearAmt
Total$72,568,965TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,768,305CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,787,741CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,897,303CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,964,413CurrentTaxYearMinus1YearAmt
Current Tax Year$19,636,407CurrentTaxYearAmt
Total$80,054,169TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$80,054,169PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,548CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,393CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,765CurrentTaxYearMinus1YearAmt
Current Tax Year$19,334CurrentTaxYearAmt
Total$96,187TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,548CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,393CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,765CurrentTaxYearMinus1YearAmt
Current Tax Year$19,334CurrentTaxYearAmt
Total$96,187TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,392CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,406CurrentTaxYearMinus1YearAmt
Current Tax Year$16,806CurrentTaxYearAmt
Total$70,148TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,777,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,798,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,945,088CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,027,584CurrentTaxYearMinus1YearAmt
Current Tax Year$19,672,547CurrentTaxYearAmt
Total$80,220,504TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99790PublicSupportCY509Pct
Public Support PY5090.99860PublicSupportPY509Pct
Investment Income CY0.00120InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$22,672OtherActivitiesAmt
Total Lobbying Expenditures$22,672TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE CENTER PAID $22,672 TO SHENKER RUSSO & CLARK LLP FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,014,000OtherCostOrOtherBasisAmt
Book Value$1,014,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,510,316OtherCostOrOtherBasisAmt
Depreciation$104,715DepreciationAmt
Book Value$2,405,601BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,541,783OtherCostOrOtherBasisAmt
Depreciation$1,572,822DepreciationAmt
Book Value$2,968,961BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,387,572OtherCostOrOtherBasisAmt
Depreciation$1,570,192DepreciationAmt
Book Value$1,817,380BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$382,573OtherCostOrOtherBasisAmt
Depreciation$225,698DepreciationAmt
Book Value$156,875BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,362,817TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENT PAYABLEDesc
Amt$36,986Amt
FieldValueIRS element (for citing)
Total Liability$36,986TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,653,301TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$19,653,301RevenueSubtotalAmt
Other Revenues Not Included-$120,517OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$120,517RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,532,784TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,759,020TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$120,517OtherExpensesIncludedAmt
Expenses Not Reported$120,517ExpensesNotReportedAmt
Expenses Subtotal$17,638,503ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,638,503TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2013 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -120,517.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 120,517.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
YAD EPHRAIM
5017 10TH AVENUEBROOKLYNNY11219542196301501(C)(3)$10,000GENERAL SUPPORT
KNAFAYIM
1242 51ST STREETBROOKLYNNY11219812729166501(C)(3)$10,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationIN ORDER TO SHOW THAT THE FUNDS WERE EXPENDED FOR THE PURPOSES WHICH WERE APPROVED BY THE BOARD OF DIRECTORS, THE GRANTEE ORGANIZATION SHALL BE OBLIGATED TO FURNISH EZRA MEDICAL CENTER WITH ITS BOOKS AND RECORDS, FOR REVIEW AND INSPECTION BY A REPRESENTATIVE(S) OF EZRA MEDICAL CENTER, AT ANYTIME AND FROM TIME TO TIME, UPON REASONABLE NOTICE TO THE GRANTEE ORGANIZATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
YISHAI HECHT
EXECUTIVE DIRECTOR$189,926$0$8,500$0$1,300$0$12,065$0$34,907$0$246,698$0$0$0
BASYA UNGAR
CHIEF FINANCIAL OFFICER$138,564$0$8,500$0$0$0$9,579$0$32,382$0$189,025$0$0$0
AVROHOM LICHTENSTEIN
CHEIF OPERATING OFFICER$151,900$0$8,500$0$0$0$10,062$0$26,291$0$196,753$0$0$0
DR JEFFREY TEITELBAUM
MEDICAL DIRECTOR$287,782$0$0$0$1,300$0$0$0$42,023$0$331,105$0$0$0
DR ISRAEL GOLDSTEIN
PODIATRIST$264,465$0$0$0$22,880$0$0$0$40,152$0$327,497$0$0$0
DR ROBERT KADAR
PEDIATRICIAN$211,245$0$6,300$0$1,300$0$2,264$0$34,841$0$255,950$0$0$0
DR MERAV KROLL
PEDIATRIC DENTIST$201,562$0$51,188$0$2,469$0$0$0$5,771$0$260,990$0$0$0
DR SANDRA PETTY
PEDIATRICIAN$149,120$0$23,888$0$18,500$0$1,939$0$12,372$0$205,819$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE BOARD OF DIRECTORS AWARDS BONUSES TO EMPLOYEES BASED ON SERVICE THROUGHOUT THE YEAR.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$205,267NoncashContributionsRptF990Amt
Method Of Determining RevenuesLETTER FROM GRANTORMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE EXECUTIVE DIRECTOR AND CFO REVIEW THE 990 AND THEN THEY FORWARD IT TO THE BOARD OF DIRECTORS AT THE NEXT BOARD MEETING FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CAS PER OUR CONFLICT OF INTEREST POLICY, WE HAVE OUR DIRECTORS AND OFFICERS COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS WHICH DISCLOSES ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS AND AFFIRMS THAT THEY HAVE READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE POLICY. ALL POSSIBLE CONFLICTS OF INTEREST ARE REPORTED TO THE BOARD OR THE FINANCE AND AUDIT COMMITTEE. THE INTERESTED PERSON IS EXCLUDED FROM ANY MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION RESULTING IN THE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15IN 2016, THE BOARD HIRED AN INDEPENDENT CONSULTING COMPANY TO REVIEW THE SALARIES OF TOP OFFICIALS FOR APPROPRIATENESS. THE COMPENSATION COMMITTEE REVIEWED THE SALARIES OF OFFICERS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART XII LINE 2CPROCESS HAS NOT CHANGED FROM PRIOR YEAR

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